| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
44,104 |
17,106 |
$3.45M |
| S0215 |
Non-emergency transportation; mileage, per mile |
17,505 |
5,644 |
$535K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,927 |
2,704 |
$424K |
| A0425 |
Ground mileage, per statute mile |
29,047 |
14,054 |
$244K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
234 |
224 |
$50K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
109 |
98 |
$15K |
| 4701Y |
|
77 |
56 |
$1K |